Cystic-cervical fistula

Vesico-cervical fistula (from Latin fissure - crack, and vesica intestinale - bladder, Greek cervix - cervix) or transurethral - pathological anastomosis between the rectus abdominis muscles and the anterior wall of the bladder.

Errors in the nosological diagnosis of impaired urination are 50–60%. In the guide “General Oncology”, ed. M.I. Davydov provides examples of various complications that often accompany radical operations on the pelvic organs. Among them, fistulas also occupy one of the leading places.

Vesico-cervical fistula is one of the most unpleasant complications after radical surgery on the cervix. Most often, after extirpation of the cervix, rare or often recurrent fistulas appear, because The cause of their occurrence is inadequate treatment and ligation of the main vessels of the vagina. In some cases, regular, painful and profuse bladder and vaginal discharge occurs, which makes urination difficult. In others, rare and painless urethro-vaginal, most often intestinal, fistulas develop. With conservative treatment, recurrence of fistulas is observed, which may lead to the need for reoperation. Chemotherapy and immunotherapy (cytokines, diucifon, sodium nucleinate) rarely have a positive effect. These interventions, if the fistula persists for a long time (for a month or more), should be carried out simultaneously with unsuccessful anti-fistula surgical therapy. To relieve fistulas, women under the age of 30 who have not previously been treated for vesico-vaginal fistulas and have a satisfactory general condition are referred for surgery. Before surgery, daily urine is examined for bacteria, and if there is a decrease in total protein and glucose, urine amylase is also examined. Three days before surgery, protein and fat preparations are prescribed orally; and after the operation itself - barium and repeated intake of protein preparations. Planning of surgery for secondary or recurrent traumatic fistulas must be agreed with a urologist. The same applies to the choice of method of applying an unnatural anus. In the long term after surgery, the prognosis depends on the frequency of fistula recurrences, the presence of scars in the vagina, intestines, abdominal wall, and the stage of the tumor process in patients with uterine and vaginal cancer. With constant anastomosis of the bladder neck, the prognosis is unfavorable. Most women with a series of fistulas have a favorable prognosis, but this is still regarded as a non-radical intervention. Some authors consider the “effect of the operation” to be a “failure.” Although this concept is formally incorrect, one has to agree with this subject to a careful examination with the choice of the most rational method of treating fistula disease.

Bladder and neck fistula is a serious disease that requires timely treatment. Essentially, it is an infection that affects the tissues of the body and leads to the formation of a path for infection between the bladder and throat.

Bladder and cervical fistula is also known as fenestrating fistula, it occurs due to a defect in the tissues of the organ through which infection

Introduction

Vesico-cervical fistula is a pathological anastomosis between the wall of the bladder and the fascia of the vagina, or tissue near the cervix. In other words, it may be a congenital unfused embryonic remnant. In the first stages of life, he does not require treatment, but simply constantly monitors his condition and, in case